Individual
MS. JULIE DEVITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
2 MIZORAS DR, NASHUA, NH 03062-2313
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5462
MA
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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